ABSTRACT
We report our experience with endoscopic management of 3 men (aged 62, 63 and 65 years) with duodenal diaphragm disease following NSAID use for 5-15 years. In the first patient a 24 F through-the-scope balloon dilatation was attempted but failed; he subsequently underwent gastro-jejunostomy. The other two patients subsequently underwent radial incisions of the web with mixed cutting and coagulation current using a standard 5 F sphincterotome.
Subject(s)
Aged , Anti-Inflammatory Agents, Non-Steroidal/adverse effects , Diaphragm/pathology , Dose-Response Relationship, Drug , Duodenal Obstruction/chemically induced , Duodenoscopy/methods , Follow-Up Studies , Humans , Long-Term Care , Male , Middle Aged , Rheumatic Diseases/diagnosis , Risk Assessment , Sampling Studies , Minimally Invasive Surgical Procedures/methods , Treatment OutcomeABSTRACT
With the advent of magnetic resonance imaging, brain lesions associated with Japanese encephalitis are increasingly being recognized and correlated with movement disorder. Bilateral haemorrhagic thalamic infarcts on MRI, suggested as a characteristic finding in Japanese encephalitis were conspicuous by their absence in this case report of Japanese encephalitis.